Active NPI
Candi Y Gilliam-Elliott, LSW
- Social Worker
- Highlands Ranch, CO
National Provider Identifier
1215617907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000000848
- Practice address
- 9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690 - Phone
- (720) 507-3189
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000000848 | CO | Primary |
Addresses
Primary practice location
9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690
Mailing address
9249 S Broadway Ste 200-206
Highlands Ranch, CO 80129-5690
Phone (720) 507-3189
Other names 1
- Candi Y Gilliam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000848 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1215617907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9249 S BROADWAY STE 200-206",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295690",
"telephone_number": "720-507-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9249 S BROADWAY STE 200-206",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295690",
"telephone_number": "720-507-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM-ELLIOTT",
"first_name": "CANDI",
"middle_name": "Y",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "0000000848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDI",
"last_name": "GILLIAM",
"middle_name": "Y",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.